4053 Amethyst Lane - COC41 City of EaRaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: a -1 ` *k .0
COMPLIANCE WITH INITIAL INSPECTION
1 is to certify that the property listed above has been inspected by authorized City personnel on (4 ` t
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n Ihis is to certify that the property listed above has been found to be in compliance with Section 3 40 of the City Code
after satisfactorily completing the required corrective r epair work under (check all that apply):
City Sanitary Sewer Permit I I City Plumbing Permit
City of Eagan
,201
NOTL: Applicable only if box is checked: I Based on a review of the Sewer Set vice video inspection /report on file, it is
recommended that periodic cleaning of future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
White Copy: Property Ownet
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 .23 2010